ʻO Isaac O. Opole, MD, PhD, he kauka lapaʻau i hōʻoia ʻia e ka papa ʻoihana i ka lāʻau lapaʻau maʻi.
ʻO ka gastrostomy endoscopic percutaneous kahi hana e hoʻokomo ʻia ai kahi paipu hānai maʻalahi (i kapa ʻia ʻo PEG tube) ma o ka paia o ka ʻōpū i loko o ka ʻōpū.
He mea kōkua nā paipu hānai no ka poʻe hiki ʻole ke hānai iā lākou iho ma muli o ka maʻi nui a i ʻole ka ʻokiʻoki ʻana akā loaʻa ka manawa kūpono o ka hoʻōla ʻana. Kōkua pū lākou i ka poʻe i hiki ʻole ke ale i ka manawa a mau loa paha akā ke hana maʻamau a kokoke paha i ka maʻamau.
I kēia hihia, ʻo kahi paipu hānai wale nō ke ala e hāʻawi ai i ka meaʻai a me / a i ʻole ka lāʻau lapaʻau.
Ma mua o ka loaʻa ʻana o ka gastrostomy, pono kāu mea mālama ola e ʻike inā loaʻa iā ʻoe kekahi maʻi olakino maʻi (e like me ke koko kiʻekiʻe) a i ʻole nā mea ʻae a me nā lāʻau āu e lawe ai.
ʻAʻole hiki iā ʻoe ke ʻai a inu paha no nā hola ʻewalu ma mua o ke kaʻina hana a pono e hoʻonohonoho ʻia no kekahi e kiʻi iā ʻoe a hoʻihoʻi iā ʻoe i ka home.
Inā ʻaʻole hiki i ke kanaka ke ʻai a loaʻa ʻole ke koho o ka paipu hānai, hiki ke hāʻawi ʻia nā wai, nā calorie a me nā meaʻai e pono ai no ke ola ʻana.
Ma mua o ke kaʻina hana hoʻokomo PEG, e loaʻa iā ʻoe ka hoʻomaʻamaʻa intravenous a me ka anesthesia kūloko a puni ka wahi ʻoki.
A laila e kau ka mea mālama ola i kahi paipu maʻalahi i kapa ʻia he endoscope ma lalo o kou puʻu e kōkua i ke alakaʻi ʻana i ka paipu maoli ma o ka paia o ka ʻōpū. Ua kapa ʻia kēia puka he stoma. ʻO ka ʻāpana o ka paipu ma waho o ke kino he 6 a 12 iniha ka lōʻihi.
Ma hope o ka ʻoki ʻana, e kau kāu kauā i kahi kāʻei ma ka pūnaewele ʻoki. Hiki iā ʻoe ke ʻike i kekahi ʻeha a puni ka ʻāpana ʻoki ma hope o ka ʻoki ʻana, a i ʻole cramping a me ka ʻeha ʻole mai ke kinoea.
He manawa ka maʻa ʻana i ka paipu hānai. Inā makemake ʻoe i ka paipu no ka hiki ʻole iā ʻoe ke ale, ʻaʻole hiki iā ʻoe ke ʻai a inu ma kou waha.
Ke hoʻohana ʻole ʻoe, hiki iā ʻoe ke hoʻopaʻa i ka paipu i kou ʻōpū me ka lipine lāʻau.
Ma hope o ka ho'ōla ʻana o ka wahi a puni kāu paipu hānai, e hui ʻoe me kahi meaʻai a meaʻai meaʻai paha e hōʻike iā ʻoe pehea e hoʻohana ai i ka paipu PEG a hoʻomaka i ka meaʻai enteral. Eia nā ʻanuʻu āu e hahai ai i ka hoʻohana ʻana i nā paipu PEG:
I kekahi mau hihia, hiki ke paʻakikī ke hoʻoholo inā ʻo ka hānai ʻana i ke kanaka i ka paipu ka mea kūpono e hana ai a me ke ʻano o nā noʻonoʻo pono.
Inā he maʻi koʻikoʻi ʻoe a i ʻole kāu mea aloha a hiki ʻole ke ʻai ma ka waha, hiki i nā paipu PEG ke hāʻawi manawaleʻa a mau loa paha i ke kino me ka wela a me nā meaʻai e hoʻōla a ulu.
Hiki ke hoʻohana ʻia nā paipu PEG no nā mahina a i ʻole mau makahiki. Inā pono, hiki i kāu mea mālama ola ke wehe a hoʻololi maʻalahi i ka paipu me ka hoʻohana ʻole ʻana i nā mea hoʻomaha a i ʻole anesthetics ma o ka hoʻohana ʻana i ka traction paʻa.
ʻO ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola (QoL) i ka hānai ʻana i ka paipu ma muli o ke kumu o ka hānai ʻana i ka paipu a me ke kūlana o ka mea maʻi. Ua nānā ʻia kahi noiʻi 2016 i nā maʻi 100 i loaʻa i nā paipu hānai.
E loaʻa i ka paipu kahi hōʻailona e hōʻike ana i kahi e holoi ʻia me ka wehe ʻana i ka paia o ka ʻōpū. Hiki ke kōkua kēia iā ʻoe e hōʻoia i ke kūlana kūpono.
Hiki iā ʻoe ke hoʻomaʻemaʻe i ka paipu PEG ma ka holoi ʻana i ka wai mahana ma o ka paipu me kahi syringe ma mua a ma hope o ka hānai ʻana a i ʻole ka loaʻa ʻana o ka lāʻau lapaʻau, a me ka hoʻomaʻemaʻe ʻana i nā welau me nā holoi holoi disinfecting.
ʻO ka mua, e ho'āʻo e holoi i ka paipu e like me ka mea maʻamau ma mua a ma hope o ka hānai ʻana. Inā ʻaʻole i hoʻoheheʻe ʻia ka paipu a i ʻole ka mānoanoa o ka meaʻai, hiki ke hoʻopaʻa ʻia. E kelepona i kāu mea mālama ola inā ʻaʻole hiki ke wehe ʻia ka paipu.
E kau inoa i kā mākou ʻōlelo aʻoaʻo olakino i kēlā me kēia lā a loaʻa i nā ʻōlelo aʻoaʻo i kēlā me kēia lā e kōkua iā ʻoe e ola i kou ola olakino.
American Society of Gastrointestinal Endoscopy. E aʻo e pili ana i ka percutaneous endoscopic gastrostomy (PEG).
ʻO Ojo O, Keaveney E, Wang XH, Feng P. Nā hopena o ka hānaiʻana i ka paipu enteral i ka maikaʻi o ke ola e pili ana i ke olakino i nā maʻi: he loiloi pūnaewele.nutrients.2019;11(5).doi: 10.3390/nu11051046
Metheny NA, Hinyard LJ, Mohammed KA. Ka hopena o ka sinusitis e pili ana me ka trachea a me nasogastric tubes: ka waihona NIS.Am J Crit Care.2018;27(1):24-31.doi:10.4037/ajcc2018978
Yoon EWT, Yoneda K, Nakamura S, Nishihara K. Percutaneous endoscopic gastrojejunostomy (PEG-J): he loiloi retrospective o kona pono i ka mālama ʻana i ka meaʻai enteral ma hope o ka ʻai ʻole ʻana o ka ʻōpū.BMJ Open Gastroenterology.2016;3(1):e000098corr1.doi: 10.1136/bmjgast-2016-000098
Mālama ʻia ʻo Kurien M, Andrews RE, Tattersall R, et al.Gastrostomy akā ʻaʻole ia e hoʻomaikaʻi i ka maikaʻi o ke ola o nā maʻi a me nā mea mālama.
Ka manawa hoʻouna: Iune-28-2022